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调节猫结肠运动和排便的骶副交感神经反射通路。

The sacral parasympathetic reflex pathway regulating colonic motility and defaecation in the cat.

作者信息

De Groat W C, Krier J

出版信息

J Physiol. 1978 Mar;276:481-500. doi: 10.1113/jphysiol.1978.sp012248.

Abstract
  1. The sacral parasympathetic outflow to the large intestine of the cat was studied by monitoring simultaneously intestinal motility and the efferent firing in postganglionic fibres on the serosal surface of the mid-distal colon. 2. Increases in efferent firing were noted during the occurrence of spontaneous propulsive activity (tonic pressure waves) or segmental contractions (slow rhythmic pressure waves). The neural discharge was not altered by transection of the lumbar sympathetic innervation to the colon but was blocked by interruption of the sacral parasympathetic outflow. 3. Electrical stimulation of pelvic nerve afferents arising in the colon or distension of the colon or rectum evoked reflex increases in efferent firing and sustained propulsive contractions that were associated with defaecation. Both responses were abolished by transection of the pelvic nerves or sacral dorsal roots. 4. Electrical stimulation of colonic afferent fibres also evoked synchronous reflex discharges in colonic efferents at latencies ranging from 180 to 300 msec. The discharges were enhanced during propulsive contractions, abolished by transection of the pelvic nerves but not altered by transection of the lumbar sympathetic nerves. 5. Sacral reflexes were present in cats with intact spinal cord and in chronic spinal animals (transection at T10-T12). The reflexes recovered within minutes to several hours after acute transection of the spinal cord. 6. Electrophysiological measurements indicated that the sacral reflexes to the large intestine were mediated by non-myelinated afferent and preganglionic efferent fibres. The central delay for the reflex was estimated to be 45-60 msec. 7. It is concluded that the sacral parasympathetic reflexes to the large intestine are mediated via a spinal pathway and have an essential role in the initiation of propulsive activity during defaecation.
摘要
  1. 通过同时监测猫中远端结肠浆膜表面的肠动力和节后纤维的传出放电,研究了骶副交感神经向猫大肠的传出通路。2. 在出现自发性推进活动(紧张性压力波)或节段性收缩(缓慢有节律的压力波)时,传出放电增加。切断结肠的腰交感神经支配后,神经放电未改变,但骶副交感神经传出通路中断则阻断了放电。3. 电刺激结肠发出的盆神经传入纤维或扩张结肠或直肠,可引起传出放电的反射性增加和与排便相关的持续性推进性收缩。切断盆神经或骶背根后,这两种反应均消失。4. 电刺激结肠传入纤维也可在180至300毫秒的潜伏期内,在结肠传出纤维中诱发同步反射性放电。在推进性收缩期间,放电增强,切断盆神经后放电消失,但切断腰交感神经后放电未改变。5. 在脊髓完整的猫和慢性脊髓动物(T10 - T12水平横断)中均存在骶反射。脊髓急性横断后数分钟至数小时内,反射恢复。6. 电生理测量表明,对大肠的骶反射由无髓传入纤维和节前传出纤维介导。该反射的中枢延迟估计为45 - 60毫秒。7. 得出结论,骶副交感神经对大肠的反射通过脊髓通路介导,在排便时推进活动的启动中起重要作用。

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